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1063921211
DOMINIQUE LUCAS
COLUMBIA, MD
NPI
1063921211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
DOMINIQUE LUCAS
7175 COLUMBIA GATEWAY DR
COLUMBIA, MD 21046-2534
Phone number: 888-344-5977
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Mailing Address
DOMINIQUE LUCAS
1025 WEDGEWOOD RD
BALTIMORE, MD 21229-1245
Phone number:
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